NDC codes

FDA NDC Directory
Product NDC (as listed)63304-086Labeler and product segments. Claims need a package NDC.
Product NDC at billing width63304-0086Add the package segment from the table below.
Package NDCs as listed with the FDA, and the 11-digit 5-4-2 form used on claims. The highlighted digit is the added leading zero.
Package NDC11-digit (billing)PackageCopy
63304-086-906330400869090 CAPSULE in 1 BOTTLE (63304-086-90)Marketed from Feb 18, 2021

How the 11-digit form is made: The product segment has 3 digits, so one leading zero is added to it (5-3-2 → 5-4-2). Formatting the NDC does not by itself make it billable — the product, package and quantity must match what was dispensed or administered, and payer rules apply. Conversion rules

Product information

Brand name (proprietary)
droxidopa
Generic name (nonproprietary)
droxidopa
Active ingredients
Droxidopa — 100 ug/1
Dosage form
Capsule
Route
Oral
Product type
Prescription drug
Marketing category
ANDA — Abbreviated New Drug Application (generic)Application ANDA 214384
Marketing start
Listing expires
Other FDA classes
Catecholamines (Chemical structure)Increased Blood Pressure (Physiologic effect)
Identifiers
Product ID 63304-086_ca97f06d-5449-4f4f-a362-47f65448bf8cSPL ID ca97f06d-5449-4f4f-a362-47f65448bf8cSPL set ID 51ef3096-4622-4f45-a180-ab0dc6d46df9UNII J7A92W69L7UPC 0363304104905, 0363304086904

Billing references

What Med-Code can say about coding this product, and where each statement comes from. Nothing here is inferred from the name alone.

HCPCS codeNo match

No HCPCS code in Med-Code's directory. Oral products like this are usually dispensed by a pharmacy and billed by NDC.

NDC on a medical claim

N463304008690 followed by a unit qualifier and the quantity

Package 63304-0086-90. Unit qualifiers: F2 (international unit), GR (gram), ME (milligram), ML (milliliter), UN (unit (each)). The qualifier and quantity depend on what was given. About the N4 qualifier

Product label

Current FDA label (SPL), effective . This label includes a boxed warning.

Indications (excerpt from the label)

Droxidopa capsules are indicated for the treatment of orthostatic dizziness, lightheadedness, or the “feeling that you are about to black out” in adult patients with symptomatic neurogenic orthostatic hypotension (nOH) caused by primary autonomic failure (Parkinson's disease [PD], multiple system atrophy, and pure autonomic failure), dopamine beta-hydroxylase deficiency, and non-diabetic autonomic neuropathy. Effectiveness beyond 2 weeks of treatment has not been established. The continued effectiveness of droxidopa capsules should be assessed periodically. Droxidopa capsules are indicated for the treatment of orthostatic dizziness, lightheadedness, or the “feeling that you are about to blac…

Excerpt only. Read the full label for complete information.

Full label on DailyMed (opens in a new tab)

Other NDCs under ANDA 214384

Products listed under the same FDA application: other strengths and forms, and repackagers who relabel the same product.

FDA NDC Directory listings under ANDA 214384
ProductStrengthForm · routeLabelerProduct NDC
droxidopaDroxidopa 200 ug/1CapsuleOralSun Pharmaceutical Industries, Inc.63304-104
droxidopaDroxidopa 300 ug/1CapsuleOralSun Pharmaceutical Industries, Inc.63304-112

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